Individual
MRS. MARY KATHERINE CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.P.
Contact information
Practice address
100 OCHRE POINT AVE, NEWPORT, RI 02840-4149
(401) 341-2904
(401) 341-2934
Mailing address
12 BALDWIN RD, MIDDLETOWN, RI 02842-5302
(401) 846-0068
(401) 341-2934
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPP 14560
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP14560
NURSE PRACTITIONER
RI
Enumeration date
11/01/2006
Last updated
07/08/2007
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